DERMATOLOGY GROUP PA
NPI 1356300081
Specialist in Mount Dora, FL

Active since March 21, 2006CLIA Certified · 2 labs
2850 MORNINGSIDE DR, MOUNT DORA, FL 32757(352) 383-0733(352) 383-7112 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2023, Aug 19, 2022 (2 updates tracked since 2022).

About Dermatology Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY GROUP PA (NPI 1356300081) is a healthcare organization registered as a specialist in Mount Dora, Florida and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Erin Howard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356300081
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY GROUP PA
Location Address2850 MORNINGSIDE DRMount Dora, FL 32757-6610
Mailing Address515 W Sr 434 Ste 210Longwood, FL 32750-5162 · (407) 332-8080 · Fax (352) 383-7112
Fax(352) 383-7112
Organization SubpartNo
Authorized OfficialErin HowardAdministrator · (407) 332-8080
Enumeration DateMarch 21, 2006
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1356300081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2850 MORNINGSIDE DR, Mount Dora, FL 32757

Secondary Practice Locations 3

Location 12304 Aloma Ave Ste 200Winter Park, FL 32792-3330 · Phone (407) 332-8080
Location 2201 N Lakemont Ave Ste 800Winter Park, FL 32792-3200 · Phone (407) 645-2737
Location 3300 E Hazel StOrlando, FL 32804-4023 · Phone (407) 898-3033

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Dermatology Group PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology11
Plastic and Reconstructive Surgery1

Clinicians, nearest first (12)

Dermatology
NPI 1134682685
2850 MORNINGSIDE DR
Mount Dora, FL 32757
(407) 332-8080
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1386603009
2850 MORNINGSIDE DR
Mount Dora, FL 32757
(352) 383-0733
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1679532923
2850 MORNINGSIDE DR
Mount Dora, FL 32757
(352) 383-0733
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1396704649
2850 MORNINGSIDE DR
Mount Dora, FL 32757
(352) 383-0733
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1841229259
2850 MORNINGSIDE DR
Mount Dora, FL 32757
(352) 383-0733
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1982895223
3272 W LAKE MARY BLVD STE 1810
Lake Mary, FL 32746
(407) 478-3151
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1801214721
515 W SR 434 STE 210
Longwood, FL 32750
(407) 332-8080
✔ PECOS✔ Accepts Medicare21 mi
Dermatology
NPI 1902284177
515 W STATE ROAD 434 STE 210
Longwood, FL 32750
(407) 332-8080
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1275710758
515 W STATE ROAD 434 SUITE 210
Longwood, FL 32750
(407) 332-8080
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1457586547
515 W STATE ROAD 434 SUITE 210
Longwood, FL 32750
(407) 332-8080
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1417908773
300 E HAZEL ST
Orlando, FL 32804
(407) 898-3033
✔ PECOS24 mi
Dermatology
NPI 1659402840
201 N LAKEMONT AVE SUITE 800
Winter Park, FL 32792
(407) 645-2737
✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0273818

Dermatology Group Pa,the · Mount Dora, FL
Active · expires May 19, 2028
CLIA Number10D0273818
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorKemka S. Ogburia
Laboratory Phone(352) 383-0733
Laboratory LocationDermatology Group Pa,the2850 Morningside Dr, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D0989872

Dermatology Group Pa,the · Longwood, FL
Active · expires Nov 6, 2026
CLIA Number10D0989872
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDr. Michael S. Henner
Laboratory Phone(407) 332-8080
Laboratory LocationDermatology Group Pa,the515 West State Road 434 Suite 210, Longwood, FL 32750
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Group PA's NPI number?

The NPI number for Dermatology Group PA is 1356300081. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Dermatology Group PA located?

Dermatology Group PA is located at 2850 Morningside Dr, Mount Dora, FL 32757. The listed phone number is (352) 383-0733.

What is Dermatology Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermatology Group PA enrolled in Medicare?

Yes. Dermatology Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Group PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (11) and Plastic and Reconstructive Surgery (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Group PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatology Group PA accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dermatology Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Group PA was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.